Fips commitment to action on the who astana declaration. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all people. Declaration of alma ata, particularly to justice and solidarity, underlining the importance of health for peace, security and socioeconomic development, and their interdependence. Pdf thirty years after who highlighted the importance of primary health carein tackling health inequality in every country, stephen gillam reflects on. International conference on primary health care, alma ata, ussr, 612. The alma ata declaration of 1978 emerged as a major milestone of the twentieth century in the field of public health, and it identified primary health care as the key to the attainment of the goal of health for all. At the 71st world health assembly, four distinguished experts. October 2018, reaffirming the commitments expressed in the ambitious and visionary declaration of almaata of 1978 and the 2030 agenda for sustainable development, in pursuit of health for all, hereby make the following declaration. The alma ata declaration also recognizes that the issue of accessibility to health services and resources has historically been a barrier to effective care and that placing emphasis on curative. The fortieth anniversary of the declaration of almaata comes at a time when primary health care is once again receiving some welldeserved attention. This article is the first in a series well publish about the health for all principles underpinning the alma ata declaration and the roles that all members of the johns hopkins community can adopt to help achieve its vision. From alma ata to the mdgs to what extent has equity been a. Towards equitybased comprehensive health care building from common foundations. Launched in 1978 at the international conference on primary health care, the declaration called for.
The alma ata declaration was adopted, marking a paradigm shift in global public health. The 10 statements of the alma ata declaration stressed the large inequality in health and its social determinants and recognised primary healthcare as integral to achieving health for all by 2000. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978 the international conference on primary health care, meeting in almaata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the need. Declaration the international conference on primary health care, meeting in ahna ata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the. The international conference on primary health care, meeting in. Who who called to return to the declaration of almaata. Almaata the declaration of almaata formally adopted primary health care phc as the means for providing a comprehensive, universal, equitable and affordable healthcare service health for all beyond 2000.
The international conference on primary health care, meeting in almaata this twelfth day. Comprehensive versus selective primary health care. The meeting itself, the final declaration of almaata. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. In september 1978, the international conference on primary health care was held in almaata, ussr now almaty, kazakhstan. The alma ata declaration was the outcome of the international conference on primary health care held in 1978 in alma ata, kazakhstan.
How do we revitalize primary health care to make it relevant today and for future generations. International conference on primary health care, almaata, ussr, 612. International conference on primary health care, alma ata, ussr, 612 september 1978. October 2018, reaffirming the commitments expressed in the ambitious and visionary declaration of alma ata of 1978 and the 2030 agenda for sustainable development, in pursuit of health for all, hereby make the following declaration. Alma ata declaration definition of alma ata declaration. Report of the international conference on primary health care.
Declaration the international conference on primary health care, meeting in ahnaata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the. The almaata declaration was endorsed by the 32 nd world health assembly held in geneva in 1979, which approved a resolution acknowledging the key role of primary health care phc for the attainment of acceptable health levels for all. The alma ata declaration of 1978 advocated for equity as the core value for health for all, and many states signed to undertake policies that would ensure equity in health and health care. The declaration of alma ata, 4 adopted at the international conference on primary health care in 1978, was the first international declaration underlining the importance of phc. Proceeding from the provision, sealed in the agreement on the establishment of a commonwealth of independent states and in the almaata declaration, for keeping the common militarystrategic space. An evolving storybuenosaires 3015international conference, august 2007 from almaata to the millennium declaration. More specifically, gillam stated that almaata declaration is still relevant for effective health care systems, since the core principles of phc are keys to moving towards health equity or. The sustainable development goals sdgs are now steering the global health and development agendas. Making bold political choices for health across all sectors. Maskarinec, phd from the department of family medicine and community health, university of hawaii. To what extent has this promise been fulfilled, 25 years down the road. However, despite the initial enthusiasm, it was difficult. The declaration of alma ata on its 30th anniversary.
Pdf is the declaration of alma ata still relevant to primary health. This declaration led to the adoption of the primary health care approach as the key public health strategy by all who member countries. A declaration made in 1978 at the conference on primary health care in almaata, ussr. Before answering this question, it is important to have a. Almaata declaration definition of almaata declaration. The republic of armenia, the republic of azerbaijan, the republic of belarus, the. Declaration of almaata international conference on primary health care, almaata, ussr, september, 1978 i the conference strongly reaffirms that health is a fundamental human right and that the attainment of the highest possible level of health requires the action of many other social and economic sectors in addition to the health sector. The conference and declaration also espoused three important principles.
The declaration of almaata begins by stating that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important worldwide social goal. The declaration of alma ata was adopted at the international conference on primary health care phc, almaty formerly alma ata, kazakhstan formerly kazakh soviet socialist republic, 612 september 1978. The almaata declaration signed by eleven heads of state on december 21, 1991. Almaata this twelfth day of september in the year nineteen hundred. It stated that primary health care is the key to attaining health for all by the year 2000. The declaration of alma ata was a watershed moment in global health. Signed by eleven heads of state on december 21, 1991. This year sees the 30th anniversary of the declaration of alma ata box 1.
Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Indeed, in the four decades since its launch, there is a sense in which all declarations or communiques issued at global health conferences have been aiming for comparable historical impact. Declaration of almaata international conference on. The international conference on primary health care, meeting in alma ata this twelfth day. The term phc, if not its almaata spirit, has been widely adopted. A poster for the 1978 international conference on primary health care and the resulting declaration of almaata. Pdf forty years ago, the 4 national government members of the who signed the alma ata declaration. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Almaata was the host city for a 1978 international conference on primary health care.
Declaration of alma ata international conference on primary health care, alma ata, ussr, 612 september 1978 the international conference on primary health care, meeting in alma ata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the need. The importance of primary care was stated in the classical declaration of almaata in 1978, which is still an important document for politicians and stakeholders 3 4 5. Notably, the sdgs contain no mention of primary health care, reflecting the disappointing implementation of the almaata declaration of 1978 over the past four decades. Scribd is the worlds largest social reading and publishing site. The world health organization and faithbased organizations in primary. Pdf is the declaration of alma ata still relevant to. Convened by who and the united nations childrens fund unicef, the alma ata conference drew representatives from 4 countries, 67 international organisations, and many nongovernmental organisations. The declaration of almaata at 40 center for global development. The declaration of alma ata, issued on september 12, 1978, provides a moral vision for primary care. Contrary to the claims of armenia, the states that signed the almaata declaration of december 21, 1991, on the goals and principles of the commonwealth of independent states, including armenia, accepted the obligation to recognize and respect the territorial integrity of each other and the inviolability of existing borders, reads the appeal. The declaration thus became crucial to reaffirming the right to health in the who constitution, reengaging human rights in global health governance, and redefining healthrelated human rights.
We envision governments and societies that prioritize, promote and protect peoples health and. Following an introductory chapter on the definition of primary. The declaration made primary health care phc the official health policy of all members countries. Is the declaration of alma ata still relevant to primary. The reasons behind the flop of almaata principles peah. Alma ata declaration, developing cooperation among their countries to ensure world peace and security, as well as with the aim to maintain civil peace and national accord, 1 translation provided by the executive secretariat of the commonwealth of independent states traduction. Abstract a report on the historic almaata conference, jointly convened by who and unicef, that focused world attention on primary health care as the key to achieving an acceptable level of health throughout the world. The draft astana declaration almaata 20, released in june, 2018, restates the key principles. Europe has paid closest heed, with the united states diluting phc to coordinated medical care, certainly important, but hardly the political call for action invoked in the almaata declaration. The declaration of almaata was adopted at the international conference on primary health.
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